GOODWIN DENTISTRY AND MEDICINE LLC NPI 1720646599

NPI Information

  • NPI: 1720646599
  • Provider Name: GOODWIN DENTISTRY AND MEDICINE, LLC
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • Address: 3025 ALOMA AVE
    WINTER PARK, FL
    ZIP 32792
  • Phone: (407) 671-2300

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NPI Details

GOODWIN DENTISTRY AND MEDICINE, LLC is a health service clinic center in Winter Park, FL. GOODWIN DENTISTRY AND MEDICINE, LLC NPI is 1720646599. The provider is registered as an organization entity type.

The provider's business location address is:

3025 ALOMA AVE
WINTER PARK, FL
ZIP 32792-702
Phone: (407) 671-2300
Fax: (407) 671-2827

The provider's authorized official is Aaron Goodwin .
The authorized official title is Owner and has the following contact phone number (407) 671-2300.

The enumeration date for this NPI number is 6/5/2019 and was last updated on 4/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0100XClinic/CenterHealth ServiceYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11831579457MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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